MEDICARE: AMBER SIEBOLD MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	10582	WI
2	101YM0800X	Mental Health Counselor	93145	TX

General Provider Information

NPI Number	:	1104577881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER SIEBOLD MA, LPC

Provider Business Mailing Address
First Line	:	PO BOX 66308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-6308
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 KEENE ST
Second Line	:
City	:	GALENA PARK
State	:	TX
Zip	:	77547-3200
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:	713-351-7361

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	01/09/2026

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Directions to “ AMBER SIEBOLD MA, LPC” Practice Location

Language	Start Address	Practice Location

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